| NPI | 1265515662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.144262) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.144262) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 290180) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-09-14 |